Presentation on theme: "Automobile Insurance. Personal Automobile Policy (PAP)"— Presentation transcript:
Personal Automobile Policy (PAP)
The Personal Auto Policy (PAP) consists of six major parts: a. Part A- Liability Coverage b. Part B- Medical Payments Coverage c. Part C- Uninsured Motorists Coverage d. Part D- Coverage for Damage to Your Auto e. Duties After an Accident or Loss f. General Provisions
Part A- Liability Coverage
Insuring agreement: Insurer promises to pay damages for which an insured person is legally liable, to defend the insured, and to pay the costs of defense. The current PAP is usually written with split limits, but it can be written with a single limit that applies to both bodily injury and property damage.
Covered autos: include any vehicle listed in the declarations, newly acquired vehicles, trailers owned by the insured, and temporary substitute autos.
Insured persons: include the named insured and any family member, any person using the named insured's covered auto, and any person or organization for liability arising out of an insured person's use of a covered auto on behalf of that person or organization.
Supplementary payments: In addition to the policy limits, the company will pay for a bail bond up to $250, premiums on appeal and release of attachment bonds, interest on the judgment, loss of earnings up to $200 daily when the insured must attend a hearing or trial, and other reasonable expenses incurred at the insurer's request.
Exclusions: Some important exclusions are intentional injury, property owned or transported, property rented or in the insureds care, workers compensation claims, using the vehicle as a public or livery conveyance, vehicles used in the auto business, other business vehicles, using a vehicle without a reasonable belief of permission, nuclear energy exclusion, and using vehicles with fewer than four wheels.
In addition, vehicles furnished or available for the insured's regular use or that of a family member are excluded. Finally, liability coverage does not apply to vehicles inside a racing facility and used for racing purposes.
Out of state coverage: Policy automatically adjusts to comply with the financial responsibility or "no-fault" law of another state.
Other insurance: If two automobile policies cover a loss to an owned automobile, each company pays its pro rata share of the loss. If the insured is driving someone else's car and has an accident, the insured's policy is excess and the insurance on the borrowed car is primary.
Medical Payments Coverage
All reasonable medical and funeral expenses incurred within three years of the date of the accident are paid.
Insured persons are the named insured and family members while occupying a motor vehicle or when struck by a motor vehicle while walking. Also covered are other persons while occupying a covered auto.
Exclusions: Some important exclusions include injuries sustained while occupying a vehicle with fewer than four wheels, using the vehicle as a public or livery conveyance, using the vehicle as a residence, work injuries covered by workers compensation, vehicles furnished or made available for the named insured or family members regular use, using a vehicle without a reasonable belief of permission, and racing vehicles.
Uninsured Motorists Coverage
The major features of the uninsured motorists coverage are as follows: a. Coverage applies only if the uninsured motorist is legally liable. b. Many states now include coverage for property damage from an uninsured motorist in their uninsured motorists law.
c.The maximum amount paid for any single accident is the amount shown in the declarations. d. The claim is subject to arbitration if the covered person and insurer disagree over the amount of damages.
Insuring agreement: coverage applies only when the other person is at fault and has no liability insurance.
Insured person: named insured and family members, other persons while occupying a covered auto, and anyone who is legally entitled to recover from the person or organization responsible for the accident.
Uninsured vehicles: vehicles with no applicable bodily injury liability coverage, vehicles with coverage less than the amount of insurance required by the state's financial responsibility or compulsory insurance law, hit-and-run vehicles, and vehicles where the bonding or insurance company is insolvent.
Exclusions: no uninsured motorists coverage on the vehicle; settling a claim without the insurer's consent; using the vehicle as a public or livery conveyance; using a vehicle without a reasonable belief; no benefits to a workers compensation insurer or self-insurer, and no punitive damages.
Other insurance: the familiar pro rata approach is used for an owned vehicle. Coverage is excess if the coverage applies to a non-owned vehicle.
Underinsured Motorists (UM) Coverage: allows you to recover from your insurer when the other driver's liability insurance limit is less than your actual damages
Coverage for Damage to Your Auto (Part D)
Insuring agreement- coverage has two parts: Collision Loss as defined in the contract and Other-than-Collision Loss for certain listed perils
Covered vehicles include any vehicle listed in the declarations, and newly acquired vehicles provided coverage is requested within 14 days of acquisition. In addition, the Part D coverages apply to a non-owned auto and temporary substitute auto.
Transportation expenses: modest reimbursement for temporary transportation expenses because of loss to a covered auto.
Exclusions include use of the vehicle as a public or livery conveyance; ordinary wear and tear; radioactive contamination or war; electronic equipment for the reproduction of sound unless permanently installed; certain other electronic equipment; tapes, records, discs; government destruction or confiscation; loss to a trailer, camper body, or motor home not shown in the declarations;
using a non-owned auto without a reasonable belief of permission; radar detection equipment; custom furnishings or equipment; non-owned auto used in the automobile business; using the vehicle in a racing facility; and loss to a rental car if a state law or rental agreement precludes the rental company from recovering from the insured.
Limit of liability and payment of loss: company will pay the lesser of actual cash value or the cost to repair or replace less any applicable deductible. Loss to a non-owned trailer is limited to $500.
Other sources of recovery For a covered auto- each company pays in proportion to what its limit of liability bears to the total of all applicable limits. For a non-owned auto, any physical damage insurance on the borrowed car is primary and your physical damage insurance is excess.
Your Duties After an Accident or Loss
1. You must notify your insurer promptly. 2. You must cooperate with your insurer in the investigation of the accident and defense of any claim that might arise from it. 3.If sued, you must immediately forward copies of the legal papers to your company. 4. You must release medical information to your insurer company to allow your injuries to be evaluated, and submit to a physical examination.
5. Under the UM coverage, you must notify the company if a hit-and-run driver is involved. If you sue the other driver, you must send copies of the papers to your insurer. 6. You must take reasonable steps to prevent further damage to your car and allow the company to inspect the damage before it is repaired.
Policy period and territory: the PAP covers only while you drive in the U.S., its territories and possessions, Puerto Rico, or Canada.
Termination: insured may cancel at any time. The insurer also has the right of cancellation under certain conditions: (1)when the policy has been in force for less than 60 days, the insurer must give 10 days' notice of cancellation, and
(2) when the policy has been in force for more than 60 days, the insurer may cancel only if the premium is not paid, or the insured's driver's license has been suspended or revoked, or the policy was obtained by a material misrepresentation. If the insurer decides not to renew the policy, at least 20 days notice of nonrenewal must be given.
The PAP does not cover motorcycles. However, coverage can be obtained by adding the miscellaneous-type vehicle endorsement to the policy.